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ID:17365899
大小:2.09 MB
页数:89页
时间:2018-08-30
《波科外周guidewires中文导丝》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、PeripheralGuideWires:外周介入导丝:Standard,Hydrophilic&Specialty标准,亲水性&特殊ThisdocumentisintendedforinternaleducationalpurposesonlyandshallnotbedistributedoutsideofBostonScientific.PIGuideWiresOverviewPurposesofaguidewire:导丝的作用:Gainaccessintovessels到达目标血管Deliverdevices输送手术器械Crosslesions穿越病变部位Usedinvasc
2、ularandnon-vascularprocedures可用于血管和非血管介入手术Usedinalldiagnosticandtherapeuticprocedures可用于所有的诊断和治疗介入手术TheBackboneofeveryprocedure每例介入手术均需使用PIGuideWiresGeneralFeatures&IntendedBenefitsIdealGuideWireFeaturesIntendedBenefitSteerability/torquecontrol操控性/扭转控制Easilydirectedthroughthebody.从体外操控导丝Columna
3、rstrength纵向强度Kinkresistant.抗扭曲Radiopaque显影性Goodvisualization.良好的可视性Frictionless润滑性Advancementthroughtortuousvessels;通过迂曲的血管;smoothtrackingofdevices&catheters.沿导丝推送器械&导管Railsupport支撑力Advancementandsupportofdevices.推送和支撑器械Atraumatictip无创伤的头端Reducedvesseldamage.减少对血管的损伤PIGuideWiresGeneralComponent
4、s外周介入导丝的一般结构CoreWire:UsuallyStainlessSteelorNitinol导丝轴芯:通常为不锈钢和镍钛诺合金DistalTip:Workingendofwire;comesinmultipleshapes:straight,angled,shapeable,J远端头端:导丝的工作端;有多种形状:直型,成角型,可塑性,J型LubriciousCoating:PTFE,Silicone,orHydrophilic光滑涂层:PTFE,硅,或亲水性DistalTip远端SafetyRibbon安全带Corewire轴芯Coilwire螺旋金属丝ProximalEn
5、d近端Floppy/LightSupport(POBA):Starter™GuideWire松软型/轻度支撑(POBA):StarterTM导丝Mostflexible;leastrailsupport最佳的柔韧性;最小的支撑力Lesslikelytocausevesseldamage最小的血管损伤ModerateSupport(Stent):MagicTorque™GuideWire中度支撑(支架):MagicTorque™导丝RailsupportbetweenFloppy&ExtraSupport介于松软型&超硬导丝之间Addedsupportforstentdelivery为
6、放置支架提供额外的支撑ExtraSupport(Stent):AmplatzGuideWire额外支撑(支架):Amplatz导丝Longrailsupportregion,butsofttip杆身支撑力更强,柔软的头端Designedforfirstgenerationstentdelivery设计用于放置第一代的支架PIGuideWiresCoreWire–Flexibility&Support轴芯–柔韧性&支撑力Diametersmostcommonlyusedininterventions:在介入手术中最常使用的导丝直径:.014”-Coronaryandsmallvesse
7、lballoons-冠状动脉和小血管球囊.018”-Renalandsmallvesselballoons-肾动脉和小血管球囊.035”-Balloonsandcatheters,“workhorse”-球囊和导管,“使用最普遍”.038”-Largedevicesrequiringextrasupport(rarelyused)-需要额外支撑的较大器械(很少使用)Otherlesscommondiametersare.032”and.025”其他较少使用
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